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HomeAnswersMedical GastroenterologypancreatitisWhy do I have severe stomach pain after eating fatty foods?

Why do fatty foods cause severe stomach cramps?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At July 21, 2018
Reviewed AtMay 23, 2024

Patient's Query

Hello doctor,

I am a 24 year old female. What could be the cause of a severe stomach pain that happens after eating nuts, seeds, and things with oil in them?

By oil, I mean even olive oil and not just greasy foods. This reaction has been happening for a year or so, and I have avoided these foods as a result.

I recently had rice with olive oil, and within five minutes, my stomach hurt so bad that it felt like the beginning or middle stages of labor.

I have taken a Pepcid, and it did nothing. I do not have any diarrhea or vomiting, just severe pain, and stomach cramps.

Answered by Dr. Babu Lal Meena


Welcome to icliniq.com.

Severe stomach pain and cramps can be caused by pancreatitis and food allergy. In your case, both are equally probable. Pancreatitis is a common cause of pain that occurs after the intake of oil-rich foods. Food allergy is a diagnosis of exclusion.

I suggest the following investigations be done:

  1. Serum amylase test during the pain episode.
  2. Complete blood count with ESR (erythrocyte sedimentation rate).
  3. Liver function test.
  4. Ultrasound of the upper abdomen, with a specific focus on the pancreas, preferably done during a pain episode.
  5. Stool routine examination.

Avoid all the precipitating agents. Further management methods can be decided after the investigations are done. Revert with the reports.

Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Babu Lal Meena
Dr. Babu Lal Meena

Medical Gastroenterology

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